Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam
Abstract Background Diabetes mellitus (DM) is recognized as an important comorbidity for the development of tuberculosis (TB). With the increase of DM burden globally, concerns have been raised about the emerging co-epidemics of DM and TB, especially in low- and middle-income countries. Methods A fa...
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| Format: | Article |
| Language: | English |
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BMC
2018-11-01
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| Series: | BMC Infectious Diseases |
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| Online Access: | http://link.springer.com/article/10.1186/s12879-018-3519-5 |
| _version_ | 1819173790497636352 |
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| author | N. B. Hoa P. D. Phuc N. T. Hien V. Q. Hoa P. H. Thuong P. T. Anh N. V. Nhung |
| author_facet | N. B. Hoa P. D. Phuc N. T. Hien V. Q. Hoa P. H. Thuong P. T. Anh N. V. Nhung |
| author_sort | N. B. Hoa |
| collection | DOAJ |
| description | Abstract Background Diabetes mellitus (DM) is recognized as an important comorbidity for the development of tuberculosis (TB). With the increase of DM burden globally, concerns have been raised about the emerging co-epidemics of DM and TB, especially in low- and middle-income countries. Methods A facility-based, cross-sectional study was carried out in all 30 district TB units in Hanoi, Vietnam. All eligible, diagnosed TB patients aged 15 years old or older were asked to provide consent and were screened for diabetes using fasting blood glucose (FBG). Pre-tested semi-structured questionnaires were used for collecting demographic data, lifestyle habits and clinical data. Identification of pre-diabetes or diabetes in TB patients was done in accordance to parameters set by the American Diabetes Association (2016). Results Of 870 eligible TB patients, 831 (95.5%) participated in the study. Of those, 241 (29%; 95%CI: 25.9–32.1%) were prediabetic and 114 (13.7%; 95%CI: 11.4–16.1%) were found to have DM. The risk of DM was higher in patients belonging to the age group 40–64 years (OR 6.09; 95%CI 2.81–13.2); or the age group 65 years or older (OR 2.65; 95%CI 1.65–4.25) or who have a family history of DM (OR 2.71; 95%CI 1.33–5.50). Conclusions This study demonstrated high prevalence of DM and prediabetes among TB patients in Hanoi, Vietnam. National Tuberculosis Programme needs to establish a systematic screening process for DM among TB patients. |
| first_indexed | 2024-12-22T20:28:41Z |
| format | Article |
| id | doaj.art-27bb8bbe6c054ef79ec7d66607ba50e1 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-12-22T20:28:41Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-27bb8bbe6c054ef79ec7d66607ba50e12022-12-21T18:13:39ZengBMCBMC Infectious Diseases1471-23342018-11-011811910.1186/s12879-018-3519-5Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, VietnamN. B. Hoa0P. D. Phuc1N. T. Hien2V. Q. Hoa3P. H. Thuong4P. T. Anh5N. V. Nhung6Vietnam National Lung Hospital, National Tuberculosis Programme VietnamCenter for Public Health and Ecosystem Research, Hanoi University of Public HealthCenter for Public Health and Ecosystem Research, Hanoi University of Public HealthVietnam National Lung Hospital, National Tuberculosis Programme VietnamHanoi Lung HospitalHanoi Lung HospitalVietnam National Lung Hospital, National Tuberculosis Programme VietnamAbstract Background Diabetes mellitus (DM) is recognized as an important comorbidity for the development of tuberculosis (TB). With the increase of DM burden globally, concerns have been raised about the emerging co-epidemics of DM and TB, especially in low- and middle-income countries. Methods A facility-based, cross-sectional study was carried out in all 30 district TB units in Hanoi, Vietnam. All eligible, diagnosed TB patients aged 15 years old or older were asked to provide consent and were screened for diabetes using fasting blood glucose (FBG). Pre-tested semi-structured questionnaires were used for collecting demographic data, lifestyle habits and clinical data. Identification of pre-diabetes or diabetes in TB patients was done in accordance to parameters set by the American Diabetes Association (2016). Results Of 870 eligible TB patients, 831 (95.5%) participated in the study. Of those, 241 (29%; 95%CI: 25.9–32.1%) were prediabetic and 114 (13.7%; 95%CI: 11.4–16.1%) were found to have DM. The risk of DM was higher in patients belonging to the age group 40–64 years (OR 6.09; 95%CI 2.81–13.2); or the age group 65 years or older (OR 2.65; 95%CI 1.65–4.25) or who have a family history of DM (OR 2.71; 95%CI 1.33–5.50). Conclusions This study demonstrated high prevalence of DM and prediabetes among TB patients in Hanoi, Vietnam. National Tuberculosis Programme needs to establish a systematic screening process for DM among TB patients.http://link.springer.com/article/10.1186/s12879-018-3519-5Tuberculosis (TB), diabetes mellitus (DM), prevalenceRisk factorsVietnam |
| spellingShingle | N. B. Hoa P. D. Phuc N. T. Hien V. Q. Hoa P. H. Thuong P. T. Anh N. V. Nhung Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam BMC Infectious Diseases Tuberculosis (TB), diabetes mellitus (DM), prevalence Risk factors Vietnam |
| title | Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam |
| title_full | Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam |
| title_fullStr | Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam |
| title_full_unstemmed | Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam |
| title_short | Prevalence and associated factors of diabetes mellitus among tuberculosis patients in Hanoi, Vietnam |
| title_sort | prevalence and associated factors of diabetes mellitus among tuberculosis patients in hanoi vietnam |
| topic | Tuberculosis (TB), diabetes mellitus (DM), prevalence Risk factors Vietnam |
| url | http://link.springer.com/article/10.1186/s12879-018-3519-5 |
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